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What is a stepwedge?
A device that can be used to demonstrate short-scale contrast and long-scale contrast.
What is a stepwedge composed of?
Aluminum
High contrast of a dental image
Exhibits very dark areas and very light areas
Magnification
The geometric characteristic that refers to an image that appears larger than it's actual size
The paralleling technique can result in magnification due to IR placement. What can the radiographer change to compensate for this magnification?
Use a longer PID
Radiopaque
Refers to portion of dental image that appears light or white
What dental materials appear the most radiopaque?
Metals
Radiolucent
Refers to portion of dental image that is dark or black
What part of the tooth appears the most radiolucent?
Dense materials
- Pulp, decay, cysts, etc.
An increase in density can result when there is an increase in....
mA, time, and kVp
Density
The overall darkness or blackness of an image
When there is an increase in the subject thickness, what is the result of the image?
The image has less density
Contrast
The difference in the degrees of blackness between adjacent areas on a dental image.
Which exposure factor control contrast on an image?
kVp
Distortion
A variation in the true size and shape of the object
Sharpness
The capability of the receptor to reproduce the distinct outlines of an object
What factors can improve the sharpness of an image?
Small focal spot, no movement, small crystal size (more pixels)
How can a radiographer minimize dimensional distortion?
By placing the PID perpendicular to the tooth and receptor, and receptor parallel to the tooth
If you are treating a patient that has no clinical signs of disease, how frequently should you take a FMX on this patient?
3-5 years
What is an example of an extraoral technique for a dental image examination?
Panoramic image
How many dental images would you take if you wanted to obtain a full mouth series of x-rays?
14-20
- 18 images in our clinic
What kind of image evaluates the crown, roots, and supporting bone of a tooth?
Periapical
What kind of image evaluates the interproximal areas of the crowns of both maxillary and mandibular teeth in a single image?
Bitewing
What word is used for closing or biting down?
Occlude
What kind of exam can a dental hygienist do to evaluate the maxillary or mandibular arch in one intraoral image?
Occlusal examination
What technique is used for periapical images?
The paralleling or bisecting technique
What is the purpose of the identification dot located on a traditional film?
Film orientation
What receptor size is recommended for an adult bitewing?
Size 2
When should adult bitewings be taken vertically?
Periodontal patients
What is recommended for patients that have a sensitive gag reflex?
It is recommended to take anterior images first and then complete the posterior periapicals and bite wings.
What causes overlapped IP contacts?
Always due to improper horizontal angulation
What causes foreshortening or elongation?
Always due to improper vertical angulation
Where is the mesial edge of the image receptor placed when taking a molar bitewing?
At the midline of the 2nd mandibular molar
What landmarks should be included in a molar bitewing image?
Distal of 2nd mandibular premolar
Where should the mesial edge of the image receptor be placed when taking a premolar bitewing image?
At the midline of the mandibular canine
What landmarks should be included on a premolar bitewing image?
Distal of mandibular canine
What size receptor should you used for a pedodontics patient?
Size 0
What can be used to help stabilize the receptor if a patient has an edentulous area?
Cotton roll
Penumbra
Some lack of image sharpness present in every radiograph
Periapical examination
Examines the entire tooth (crown and root) and supporting bone.
Interproximal examination
Examines the crowns of both maxillary and mandibular teeth on a single image.
Short-scale contrast (high contrast)
Black/white, low kVp
Long-scale contrast (low contrast)
Many shades of gray, high kVp
Film contrast
Qualities of the film and film processing
Subject contrast
Characteristics of the subject that influence radiographic contrast
What size receptor is used for an occlusal exam?
Size 2
Dentulous areas
Areas that exhibit teeth
Edentulous areas
Areas where teeth are no longer present
What does an increase in target-receptor distance result in? (Source of x-rays)
Less image magnification
What does an increase in object-receptor distance result in? (Tooth)
More image magnification